A small compilation of nurse anesthesia care plans

These anesthesia care plans are meant to inspire nurse anesthesia residents when they are making their care plans. Always make sure you fully understand and "own" your care plan. Your plan must be specific for your patient and should always be with the most up-to-date information.

Turbinate Resection

Etiology

The inferior turbinate is the largest of the nasal turbinates

Inferior, middle, superior

It can cause nasal obstruction when hypertrophied.

Various reduction options include radiofrequency ablation, cauterization, submucosal resection, partial resection, and out-fracture (to create a larger space for air to travel). At the conclusion, the cut edges are cauterized.

Adverse Events

Bleeding, usually controlled with cautery or nasal packing

Anesthetic Considerations

Head elevated to 15-30 degrees

The table may turn 90-180 degrees

SPB on the lower side to minimize bleeding

Risk of airway fire with cautery - low FiO₂

Risk of N/V due to possible aspiration of blood

Consider Decadron to minimize post-op edema (8 -12 mg IV)

No ketorolac due to the risk of microvascular bleeding

Oral RAE taped midline

Patient immobility

Clear surgical field

Smooth emergence to avoid post-op hemorrhage